Provider Demographics
NPI:1902616675
Name:CATALANELLO, JULIA DIANE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:DIANE
Last Name:CATALANELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HEARTHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5037
Mailing Address - Country:US
Mailing Address - Phone:631-553-2890
Mailing Address - Fax:
Practice Address - Street 1:50 HEARTHSTONE DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5037
Practice Address - Country:US
Practice Address - Phone:631-553-2890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist